| NPI | 1801174875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-5843) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2025-01-07 |